Healthcare Provider Details

I. General information

NPI: 1972622116
Provider Name (Legal Business Name): AMY BILYK DOCK DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 08/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3135 NE 85TH ST
SEATTLE WA
98115-3522
US

IV. Provider business mailing address

3135 NE 85TH ST
SEATTLE WA
98115
US

V. Phone/Fax

Practice location:
  • Phone: 206-718-4170
  • Fax:
Mailing address:
  • Phone: 206-718-4170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT60100028
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT60100028
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: